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Saturday, July 28, 2007

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SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene.

1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is

A. Stay with the person, Encourage her to remain still and Immobilize the leg whileWhile waiting for the ambulance.B. Leave the person for a few moments to call for help.C. Reduce the fracture manually.D. Move the person to a safer place.

2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is

5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following sign and symptoms?

A. Tachycardia and HypotensionB. Fever and BradycardiaC. Bradycardia and HypertensionD. Fever and Hypertension

SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU Lagro is admitted due to pain in his weight bearing joint. The diagnosis was Osteoarthritis.

6. As a nurse, you instructed Mr. Rojas how to use a cane. Mr. Rojas has a weakness on his right leg due to self immobilization and guarding. You plan to teach Mr. Rojas to hold the cane

A. On his left hand, because his right side is weak.B. On his left hand, because of reciprocal motion.C. On his right hand, to support the right leg.D. On his right hand, because only his right leg is weak.

7. You also told Mr. Rojas to hold the cane

A. 1 Inches in front of the foot.B. 3 Inches at the lateral side of the foot.c. 6 Inches at the lateral side of the foot.D. 12 Inches at the lateral side of the foot.

8. Mr. Rojas was discharged and 6 months later, he came back to the emergency room of the hospital because he suffered a mild stroke. The right side of the brain was affected. At the rehabilitative phase of your nursing care, you observe Mr. Rojas use a cane and you intervene if you see him

A. Moves the cane when the right leg is moved.B. Leans on the cane when the right leg swings through.C. keeps the cane 6 Inches out to the side of the right foot.D. Holds the cane on the right side.

SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhood

9. The nurse performs a Mantoux Test. The nurse knows that Mantoux Test is also known as

A. PPDB. PDPC. PDDD. DPP

10. The nurse would inject the solution in what route?

A. IMB. IVC. IDD. SC

11. The nurse notes that a positive result for Alfred is

A. 5 mm whealB. 5 mm IndurationC. 10 mm WhealD. 10 mm Induration

12. The nurse told Alfred to come back after

A. a weekB. 48 hoursC. 1 dayD. 4 days

13. Mang Alfred returns after the Mantoux Test. The test result read POSITIVE. What should be the nurse’s next action?

A. Call the PhysicianB. Notify the radiology dept. for CXR evaluationC. Isolate the patientD. Order for a sputum exam

14. Why is Mantoux test not routinely done in the Philippines?

A. It requires a highly skilled nurse to perform a Mantoux testB. The sputum culture is the gold standard of PTB Diagnosis and it will definitively determine the extent of the cavitary lesionsC. Chest X Ray Can diagnose the specific microorganism responsible for the lesionsD. Almost all Filipinos will test positive for Mantoux Test

15. Mang Alfred is now a new TB patient with an active disease. What is his category according to the DOH?

A. IB. IIC. IIID. IV

16. How long is the duration of the maintenance phase of his treatment?

A. 2 monthsB. 3 monthsC. 4 monthsD. 5 months

17. Which of the following drugs is UNLIKELY given to Mang Alfred during the maintenance phase?

A. RifampicinB. IsoniazidC. EthambutolD. Pyridoxine

18. According to the DOH, the most hazardous period for development of clinical disease is during the first

19. This is the name of the program of the DOH to control TB in the country

A. DOTSB. National Tuberculosis Control ProgramC. Short Coursed ChemotherapyD. Expanded Program for Immunization

20. Susceptibility for the disease [ TB ] is increased markedly in those with the following condition except

A. 23 Year old athlete with diabetes insipidusB. 23 Year old athlete taking long term Decadron therapy and anabolic steroidsC. 23 Year old athlete taking illegal drugs and abusing substancesD. Undernourished and Underweight individual who undergone gastrectomy

21. Direct sputum examination and Chest X ray of TB symptomatic is in what level of prevention?

24. The nurse should insert the colostomy tube for irrigation at approximately

A. 1-2 inchesB. 3-4 inchesC. 6-8 inchesD. 12-18 inches

25. The maximum height of irrigation solution for colostomy is

A. 5 inchesB. 12 inchesC. 18 inchesD. 24 inches

26. Which of the following behavior of the client indicates the best initial step in learning to care for his colostomy?

A. Ask to defer colostomy care to another individualB. Promises he will begin to listen the next dayC. Agrees to look at the colostomyD. States that colostomy care is the function of the nurse while he is in the hospital

27. While irrigating the client’s colostomy, Michiel suddenly complains of severe cramping. Initially, the nurse would

A. Stop the irrigation by clamping the tubeB. Slow down the irrigationC. Tell the client that cramping will subside and is normalD. Notify the physician

28. The next day, the nurse will assess Michiel’s stoma. The nurse noticed that a prolapsed stoma is evident if she sees which of the following?

A. A sunken and hidden stomaB. A dusky and bluish stomaC. A narrow and flattened stomaD. Protruding stoma with swollen appearance

29. Michiel asked the nurse, what foods will help lessen the odor of his colostomy. The nurse best response would be

30. The nurse will start to teach Michiel about the techniques for colostomy irrigation. Which of the following should be included in the nurse’s teaching plan?

A. Use 500 ml to 1,000 ml NSSB. Suspend the irrigant 45 cm above the stomaC. Insert the cone 4 cm in the stomaD. If cramping occurs, slow the irrigation

31. The nurse knew that the normal color of Michiel’s stoma should be

A. Brick RedB. GrayC. BlueD. Pale Pink

SITUATION: James, A 27 basketball player sustained inhalation burn that required him to have tracheostomy due to massive upper airway edema.

32. Wilma, His sister and a nurse is suctioning the tracheostomy tube of James. Which of the following, if made by Wilma indicates that she is committing an error?

A. Hyperventilating James with 100% oxygen before and after suctioningB. Instilling 3 to 5 ml normal saline to loosen up secretionC. Applying suction during catheter withdrawalD. Suction the client every hour

33. What size of suction catheter would Wilma use for James, who is 6 feet 5 inches in height and weighing approximately 145 lbs?

A. Fr. 5B. Fr. 10C. Fr. 12D. Fr. 18

34. Wilma is using a portable suction unit at home, What is the amount of suction required by James using this unit?

A. 2-5 mmHgB. 5-10 mmHgC. 10-15 mmHgD. 20-25 mmHg

35. If a Wall unit is used, What should be the suctioning pressure required by James?

A. 50-95 mmHgB. 95-110 mmHgC. 100-120 mmHgD. 155-175 mmHg

36. Wilma was shocked to see that the Tracheostomy was dislodged. Both the inner and outer cannulas was removed and left hanging on James’ neck. What are the 2 equipment’s at james’ bedside that could help Wilma deal with this situation?

A. New set of tracheostomy tubes and Oxygen tankB. Theophylline and EpinephrineC. Obturator and Kelly clampD. Sterile saline dressing

37. Which of the following method if used by Wilma will best assure that the tracheostomy ties are not too tightly placed?

A. Wilma places 2 fingers between the tie and neckB. The tracheotomy can be pulled slightly away from the neckC. James’ neck veins are not engorgedD. Wilma measures the tie from the nose to the tip of the earlobe and to the xiphoid process.

38. Wilma knew that James have an adequate respiratory condition if she notices that

A. James’ respiratory rate is 18B. James’ Oxygen saturation is 91%C. There are frank blood suction from the tubeD. There are moderate amount of tracheobronchial secretions

39. Wilma knew that the maximum time when suctioning James is

A. 10 secondsB. 20 secondsC. 30 secondsD. 45 seconds

SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed with Acute Close Angle Glaucoma. He is being seen by Nurse Jet.

40. What specific manifestation would nurse Jet see in Acute close angle glaucoma that she would not see in an open angle glaucoma?

A. Loss of peripheral visionB. Irreversible vision lossC. There is an increase in IOPD. Pain

41. Nurse jet knew that Acute close angle glaucoma is caused by

A. Sudden blockage of the anterior angle by the base of the irisB. Obstruction in trabecular meshworkC. Gradual increase of IOPD. An abrupt rise in IOP from 8 to 15 mmHg

42. Nurse jet performed a TONOMETRY test to Mr. Batumbakal. What does this test measures

A. It measures the peripheral vision remaining on the clientB. Measures the Intra Ocular PressureC. Measures the Client’s Visual AcuityD. Determines the Tone of the eye in response to the sudden increase in IOP.

43. The Nurse notices that Mr. Batumbakal cannot anymore determine RED from BLUE. The nurse knew that which part of the eye is affected by this change?

A. IRISB. PUPILc. RODS [RETINA]D. CONES [RETINA]

44. Nurse Jet knows that Aqueous Humor is produce where?

A. In the sub arachnoid space of the meningesB. In the Lateral ventriclesC. In the ChoroidsD. In the Ciliary Body

SITUATION : Wide knowledge about the human ear, it’s parts and it’s functions will help a nurse assess and analyze changes in the adult client’s health.

52. Nurse Anna is doing a caloric testing to his patient, Aida, a 55 year old university professor who recently went into coma after being mauled by her disgruntled 3rd year nursing students whom she gave a failing mark. After instilling a warm water in the ear, Anna noticed a rotary nystagmus towards the irrigated ear. What does this means?

A. Indicates a CN VIII DysfunctionB. AbnormalC. NormalD. Inconclusive

53. Ear drops are prescribed to an infant, The most appropriate method to administer the ear drops is

A. Pull the pinna up and back and direct the solution towards the eardrumB. Pull the pinna down and back and direct the solution onto the wall of the canalC. Pull the pinna down and back and direct the solution towards the eardrumD. Pull the pinna up and back and direct the solution onto the wall of the canal

54. Nurse Jenny is developing a plan of care for a patient with Menieres disease. What is the priority nursing intervention in the plan of care for this particular patient?

57. Nurse Anna is giving dietary instruction to a client with Menieres disease. Which statement if made by the client indicates that the teaching has been successful?

A. I will try to eat foods that are low in sodium and limit my fluid intakeB. I must drink atleast 3,000 ml of fluids per dayC. I will try to follow a 50% carbohydrate, 30% fat and 20% protein dietD. I will not eat turnips, red meat and raddish

58. Peachy was rushed by his father, Steven into the hospital admission. Peachy is complaining of something buzzing into her ears. Nurse Joemar assessed peachy and found out It was an insect. What should be the first thing that Nurse Joemar should try to remove the insect out from peachy’s ear?

A. Use a flashlight to coax the insect out of peachy’s earB. Instill an antibiotic ear dropsC. Irrigate the earD. Pick out the insect using a sterile clean forceps

59. Following an ear surgery, which statement if heard by Nurse Oca from the patient indicates a correct understanding of the post operative instructions?

A. Activities are resumed within 5 daysB. I will make sure that I will clean my hair and face to prevent infectionC. I will use straw for drinkingD. I should avoid air travel for a while

60. Nurse Oca will do a caloric testing to a client who sustained a blunt injury in the head. He instilled a cold water in the client’s right ear and he noticed that nystagmus occurred towards the left ear. What does this finding indicates?

A. Indicating a Cranial Nerve VIII DysfunctionB. The test should be repeated again because the result is vagueC. This is Grossly abnormal and should be reported to the neurosurgeonD. This indicates an intact and working vestibular branch of CN VIII

61. A client with Cataract is about to undergo surgery. Nurse Oca is preparing plan of care. Which of the following nursing diagnosis is most appropriate to address the long term need of this type of patient?

62. Nurse Joseph is performing a WEBERS TEST. He placed the tuning fork in the patients forehead after tapping it onto his knee. The client states that the fork is louder in the LEFT EAR. Which of the following is a correct conclusion for nurse Josph to make?

A. He might have a sensory hearing loss in the left earB. Conductive hearing loss is possible in the right earC. He might have a sensory hearing loss in the right hear, and/or a conductive hearing loss in the left ear.D. He might have a conductive hearing loss in the right ear, and/or a sensory hearing loss in the left ear.

SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction worker was admitted to a tertiary hospital for incessant vomiting. Assessment disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue, slow flattening of the skin was noted when the nurse released her pinch.

65. Approximately how much fluid is lost in acute weight loss of .5kg?

A. 50 mlB. 750 mlC. 500 mlD. 75 ml

66. Postural Hypotension is

A. A drop in systolic pressure less than 10 mmHg when patient changes position from lying to sitting.B. A drop in systolic pressure greater than 10 mmHg when patient changes position from lying to sittingC. A drop in diastolic pressure less than 10 mmHg when patient changes position from lying to sittingD. A drop in diastolic pressure greater than 10 mmHg when patient changes position from lying to sitting

67. Which of the following measures will not help correct the patient’s condition

74. The nurse will assess a loss of ability in which of the following areas?

A. BalanceB. JudgmentC. SpeechD. Endurance

75. Mr. Dela Isla said he cannot comprehend what the nurse was saying. He suffers from:

A. InsomniaB. AphraxiaC. AgnosiaD. Aphasia

76. The nurse is aware that in communicating with an elderly client, the nurse will

A. Lean and shout at the ear of the clientB. Open mouth wide while talking to the clientC. Use a low-pitched voiceD. Use a medium-pitched voice

77. As the nurse talks to the daughter of Mr. Dela Isla, which of the following statement of the daughter will require the nurse to give further teaching?

A. I know the hallucinations are parts of the diseaseB. I told her she is wrong and I explained to her what is rightC. I help her do some tasks he cannot do for himselfD. Ill turn off the TV when we go to another room

78. Which of the following is most important discharge teaching for Mr. Dela Isla

SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE [Probanthine] Is necessary in treatment of various disorders.

79. What is the action of this drug?

A. Increases glandular secretion for clients affected with cystic fibrosisB. Dissolve blockage of the urinary tract due to obstruction of cystine stonesC. Reduces secretion of the glandular organ of the bodyD. Stimulate peristalsis for treatment of constipation and obstruction

80. What should the nurse caution the client when using this medication

A. Avoid hazardous activities like driving, operating machineries etc.B. Take the drug on empty stomachC. Take with a full glass of water in treatment of Ulcerative colitisD. I must take double dose if I missed the previous dose

81. Which of the following drugs are not compatible when taking Probanthine?

A. He will be thirsty considering that he is doesn’t drink enough fluidsB. To remove dried blood when tongue is bitten during a seizureC. The tactile stimulation during mouth care will hasten return to consciousnessD. Mouth breathing is used by comatose patient and it’ll cause oral mucosa dying and cracking.

87. One of the complications of prolonged bed rest is decubitus ulcer. Which of the following can best prevent its occurrence?

A. Massage reddened areas with lotion or oilsB. Turn frequently every 2 hoursC. Use special water mattressD. Keep skin clean and dry

88. If Mr. Franco’s Right side is weak, What should be the most accurate analysis by the nurse?

A. Expressive aphasia is prominent on clients with right sided weaknessB. The affected lobe in the patient is the Right lobeC. The client will have problems in judging distance and proprioceptionD. Clients orientation to time and space will be much affected

SITUATION : a 20 year old college student was rushed to the ER of PGH after he fainted during their ROTC drill. Complained of severe right iliac pain. Upon palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was ordered. Diagnosis is acute appendicitis.

89. Which result of the lab test will be significant to the diagnosis?

95. If after surgery the patient’s abdomen becomes distended and no bowel sounds appreciated, what would be the most suspected complication?

A. IntussusceptionB. Paralytic IleusC. HemorrhageD. Ruptured colon

96. NGT was connected to suction. In caring for the patient with NGT, the nurse must

A. Irrigate the tube with saline as orderedB. Use sterile technique in irrigating the tubeC. advance the tube every hour to avoid kinksD. Offer some ice chips to wet lips

97. When do you think the NGT tube be removed?

A. When patient requests for itB. Abdomen is soft and patient asks for waterC. Abdomen is soft and flatus has been expelledD. B and C only

Situation: Amanda is suffering from chronic arteriosclerosis Brain syndrome she fell while getting out of the bed one morning and was brought to the hospital, and she was diagnosed to have cerebrovascular thrombosis thus transferred to a nursing home.

Sorry, all of the articles on this site is copyrighted. Dont focus too much on medical surgical questions if you are taking the board exams, remember the purpose of the board exam is to test if you are competent to work as a ENTRY LEVEL NURSE. Hope that helps. Thank you so much.

for all the people who did a good job, thank you for helping us out (esp. us who'll be taking the exam) kip up the good work.. surely God will bless u because u have a heart to help those u r n great need. loggng in to this site help me review the importnts points in just a click of my finger. in my case that i have a 10mos old bb girl to tke care n nurse(breastfeeding) its a great help.. thank you..God bless all of you

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